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    Prosthesis having an everting pivoting fenestration
    1.
    发明公开
    Prosthesis having an everting pivoting fenestration 有权
    Prothese mitumgestülptem，sich drehendem Fenster

    公开(公告)号：EP2777607A1

    公开(公告)日：2014-09-17

    申请号：EP14275040.5

    申请日：2014-03-04

    申请人： Cook Medical Technologies LLC ,  Greenberg, Roy K.

    发明人： Greenberg, Roy K. ,  Roeder, Blayne A. ,  Huser, Matthew S ,  Havel, William John

    IPC分类号： A61F2/07

    CPC分类号： A61F2/856 ,  A61F2/07 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2250/0039

    摘要： The present disclosure relates to an endoluminal prosthesis (10), such as a stent graft that includes one or more fenestrations (12) to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one embodiment, the prosthesis (10) includes fenestrations (12) that are pivotable to accommodate the dynamic geometry of the aortic branches. In another embodiment, the pivotable fenestrations (12) include a first perimeter (26), a band (28) of flexible material attached and surrounding the first perimeter (26), a second perimeter (30) attached to and surrounding the band (28) of flexible material and a support frame (48) disposed about a surface of the band (28) of flexible material. The first perimeter (26), band (28) of flexible material, and second perimeter (30) have a geometric shape. The support frame (48) includes a plurality of support units (50) having curved segments (54). The curved segments (54) of the support units (50) may be concave with respect to an exterior surface of the prosthesis (10).

    摘要翻译： 本公开涉及一种腔内假体（10），例如包括一个或多个开窗（12）以适应血管内疾病的支架移植物，例如涉及一个或多个侧枝的情况下的动脉瘤。 在一个实施例中，假体（10）包括可枢转以适应主动脉分支的动态几何形状的开窗（12）。 在另一个实施例中，可枢转的开窗（12）包括第一周边（26），附接并围绕第一周边（26）的柔性材料的带（28）），连接到并围绕带（28）的第二周边 ）和围绕柔性材料带（28）的表面设置的支撑框架（48）。 柔性材料的第一周边（26），带（28）和第二周边（30）具有几何形状。 支撑框架（48）包括具有弯曲段（54）的多个支撑单元（50）。 支撑单元（50）的弯曲段（54）可以相对于假体（10）的外表面是凹的。

    Endoluminal posthesis
    3.
    发明公开
    Endoluminal posthesis 有权
    腔内假体

    公开(公告)号：EP2749250A1

    公开(公告)日：2014-07-02

    申请号：EP13275329.4

    申请日：2013-12-20

    申请人： Cook Medical Technologies LLC

    发明人： Roeder, Blayne A. ,  Huser, Matthew S ,  Hartley, David Ernest

    IPC分类号： A61F2/07

    CPC分类号： A61F2/07 ,  A61F2002/061 ,  A61F2002/067 ,  A61F2250/006

    摘要： An endoluminal prosthesis (210; 310), such as a stent graft that includes one or more fenestrations (212, 238; 312) to accommodate endovascular disease, such as an aneurysm in cases where one or more side branches is involved. In one aspect, the prosthesis includes fenestrations (212; 312) that are pivotable to accommodate the dynamic geometry of the aortic branches. In another aspect, the pivotable fenestrations (212; 312) include a first perimeter (226; 326), a band of flexible material (228; 328) attached and surrounding the first perimeter (226; 326), and a second perimeter (230; 330) attached to and surrounding the band of flexible material (228; 328). The first perimeter (226; 326), band of flexible material (228; 328), and second perimeter (230; 330) have a geometric shape. In one aspect, the prosthesis (210; 310) includes at least three pivotable fenestrations (212; 312).

    摘要翻译： 诸如支架移植物的腔内假体（210; 310）包括一个或多个开窗（212,238; 312）以适应血管内疾病，例如在涉及一个或多个侧枝的情况下的动脉瘤。 在一个方面，假体包括可枢转以适应主动脉分支的动态几何形状的开窗（212; 312）。 在另一方面，可枢转的窗孔（212; 312）包括第一周边（226; 326），附接并围绕第一周边（226; 326）的柔性材料带（228; 328），以及第二周边（230 ; 330）附接到并围绕柔性材料带（228; 328）。 第一周边（226; 326），柔性材料带（228; 328）和第二周边（230; 330）具有几何形状。 在一个方面，假体（210; 310）包括至少三个可枢转的开窗（212; 312）。

    Preloaded wire for endoluminal device
    4.
    发明公开
    Preloaded wire for endoluminal device 审中-公开
    Vorgespannter Drahtfüreine endoluminale Vorrichtung

    公开(公告)号：EP2745813A1

    公开(公告)日：2014-06-25

    申请号：EP13197520.3

    申请日：2013-12-16

    申请人： Cook Medical Technologies LLC

    发明人： Roeder, Blayne A. ,  Huser, Matthew S ,  Coverdale, Kelly

    IPC分类号： A61F2/954 ,  A61F2/966

    CPC分类号： A61F2/954 ,  A61F2/07 ,  A61F2/966 ,  A61F2002/061 ,  A61F2002/9511

    摘要： A system includes an endoluminal prosthesis (100) and a guide wire (150). The prosthesis may include a tubular body (101) including a graft material wall, a proximal end opening, a distal end opening, and a lumen extending longitudinally therein. The prosthesis may include first and second fenestrations (110, 120) in the graft material wall. The first and second fenestrations may be spaced from one another circumferentially about the tubular body. The guide wire may have a first end and a second end (152, 154) both extending from a region proximal of the proximal end opening. The guide wire may enter the proximal end opening, exit the first fenestration, partially traverse an exterior surface of the prosthesis, enter the second fenestration, and exit the proximal end opening. No portion of the guide wire may extend distally beyond the distal end opening.

    摘要翻译： 系统包括腔内假体（100）和导丝（150）。 假体可以包括管状体（101），其包括移植材料壁，近端开口，远端开口和在其中纵向延伸的内腔。 假体可以包括移植材料壁中的第一和第二开窗（110,120）。 第一和第二开窗可以围绕管状体沿周向间隔开。 引导线可以具有从近端开口的近侧区域延伸的第一端和第二端（152,154）。 导丝可以进入近端开口，离开第一开窗，部分地穿过假体的外表面，进入第二开窗并离开近端开口。 导丝的任何部分可以向远端延伸超过远端开口。

    Endoluminal prosthesis
    5.
    发明公开
    Endoluminal prosthesis 有权
    腔内假体

    公开(公告)号：EP2749249A3

    公开(公告)日：2014-10-29

    申请号：EP13199491.5

    申请日：2013-12-23

    申请人： Cook Medical Technologies LLC

    发明人： Havel, William John ,  Huser, Matthew S

    IPC分类号： A61F2/07

    CPC分类号： A61F2/07 ,  A61F2002/061 ,  A61F2002/067 ,  A61F2250/006

    摘要： An endoluminal prosthesis (100) may include a tubular main body (110) and a branch (130). The main body may include proximal and distal end openings, a lumen (113), a sidewall (114), and a fenestration (126) in the sidewall. The branch (130) may include a tubular retrograde branch segment (142), a tubular antegrade branch segment (152), and a tubular branch junction (132). The retrograde branch segment (142) may include an inlet opening fluidly coupled to the fenestration (126) of the main body (110) and an outlet opening fluidly coupled to the branch junction and positioned longitudinally between the proximal end opening and the fenestration of the main body (110). The antegrade branch segment (152) may include an inlet opening fluidly coupled to the branch junction (132) and an outlet opening positioned longitudinally distal of the inlet opening of the antegrade branch segment (152). The retrograde branch segment (142) and the antegrade branch segment (152) may be in fluid communication with one another through the branch junction.

    摘要翻译： 腔内假体（100）可以包括管状主体（110）和分支（130）。 主体可以包括侧壁中的近端开口和远端开口，内腔（113），侧壁（114）和开窗孔（126）。 分支（130）可以包括管状逆行分支节段（142），管状顺行分支节段（152）和管状分支节点（132）。 逆行分支段（142）可包括入口开口流体地联接到所述主体（110）的开窗（126）和一个出口开口流体连接到所述分路接头和所述基端开口部和的开窗之间纵向地定位 主体（110）。 顺行分支段（152）可以包括流体地联接到分支接头（132）的入口开口和位于顺行分支段（152）的入口开口的纵向远端的出口开口。 逆行分支节段（142）和顺行分支节段（152）可以通过分支节点彼此流体连通。

    Stent designs for reduced infolding of graft material
    8.
    发明公开
    Stent designs for reduced infolding of graft material 审中-公开
    对于移植材料的减小的护套支架设计

    公开(公告)号：EP2745806A2

    公开(公告)日：2014-06-25

    申请号：EP13275316.1

    申请日：2013-12-16

    申请人： Cook Medical Technologies LLC

    发明人： Havel, William J. ,  Huser, Matthew S ,  Kratzberg, Jarin ,  Yang, Shuo

    IPC分类号： A61F2/07

    CPC分类号： A61F2/07 ,  A61F2/91 ,  A61F2002/075 ,  A61F2002/8483 ,  A61F2220/0075 ,  A61F2250/0063

    摘要： A stent-graft comprises a substantially tubular graft material, and a stent (20) coupled to the graft material. The stent (20) has proximal and distal ends (22,24) and further has compressed and deployed states. The proximal end (22) is disposed proximally beyond a proximal edge of the graft material, and the distal end (24) has at least one portion overlapping with the proximal edge of the graft material. In one example, the stent (20) comprises at least one distal apex (62a) having a bifurcation extending into first and second leg regions (70, 80). A distal end of the first leg region (70 is positioned to overlap the graft material at a location circumferentially spaced apart from a location at which a distal end of the second leg region (80) overlaps the graft material in the deployed state.

    Endoluminal prosthesis with steerable branch
    9.
    发明公开
    Endoluminal prosthesis with steerable branch 审中-公开
    Endoluminale Prothese mit steuerbarem Seitenarm

    公开(公告)号：EP2574306A1

    公开(公告)日：2013-04-03

    申请号：EP12275151.4

    申请日：2012-09-26

    申请人： Cook Medical Technologies LLC ,  Cleveland Clinic Foundation

    发明人： Greenberg, Roy K. ,  Kratzberg, Jarin ,  Huser, Matthew S ,  Roeder, Blayne

    IPC分类号： A61F2/07

    CPC分类号： A61F2/07 ,  A61F2/89 ,  A61F2/954 ,  A61F2002/061 ,  A61F2002/075 ,  A61F2002/9511 ,  A61F2220/0025 ,  A61F2220/0033 ,  A61F2220/005 ,  A61F2220/0066 ,  A61F2220/0075 ,  A61F2230/0006 ,  A61F2250/0006

    摘要： An endoluminal prosthesis includes a tubular main graft body (20) including a sidewall and proximal and distal ends with a first stent (30a) positioned near the proximal end of the main graft body, a second stent (30b) positioned adjacent to and distal of the first stent and an opening (50) in the sidewall positioned longitudinally between a peak of the first stent and a valley of the second stent. A tubular branch (60) is disposed in the opening and is flexibly orientable between a retrograde configuration in which a first end opening is oriented toward the distal end and a second end opening is oriented toward the proximal end and an antegrade configuration in which the first end opening is oriented toward the proximal end and the second end opening is oriented toward the distal end.

    摘要翻译： 腔内假体包括管状主移植体（20），其包括侧壁和近端和远端，其中第一支架（30a）位于主移植物主体的近端附近，第二支架（30b）邻近和远离 所述第一支架和所述侧壁中的开口（50）纵向定位在所述第一支架的峰部和所述第二支架的谷部之间。 管状分支（60）设置在开口中，并且可以在其中第一端开口朝向远端定向的逆行构造和可朝向近端的第二端开口定向的柔性定向和顺向构型之间，其中第一 端部开口朝向近端并且第二端部开口朝向远端定向。